A 30 years old known alcoholic patient presented to EMOPD with a complaint of severe pain in the abdomen. On examination, rigid abdomen is seen. Patient also had multiple episodes of pain in the abdomen for the last 4-5 years and lost 5 kg of weight in the past 6 months. Serum lipase and amylase level is normal. CECT abdomen was perfomed . What is the most likely diagnosis?

**Core Concept**
The patient's presentation suggests a condition related to the pancreas, given the history of recurrent abdominal pain and significant weight loss. **Chronic pancreatitis** is a likely diagnosis, considering the patient's long history of alcoholism, which is a major risk factor for this condition.

**Why the Correct Answer is Right**
The correct answer is related to the patient's history and clinical presentation. Although serum lipase and amylase levels are normal, this does not rule out **chronic pancreatitis**, as these enzymes may not be elevated in chronic cases. The patient's symptoms, including recurrent abdominal pain and weight loss, along with a history of alcoholism, point towards this diagnosis.

**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because the information provided does not specifically point to an acute condition.
**Option B:** This option is incorrect as it does not correlate with the patient's symptoms and history.
**Option C:** This option is incorrect because, although the patient has abdominal pain, the clinical context suggests a more chronic condition.

**Clinical Pearl / High-Yield Fact**
A key point to remember is that **chronic pancreatitis** can present with normal serum pancreatic enzymes, making clinical correlation and imaging essential for diagnosis.

**Correct Answer:** D. Chronic Pancreatitis.

✓ Correct Answer: B. Chronic pancreatitis